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MS. MARY ELIZABETH ENZWEILER RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1194732560

Individual Registrant:
MS. MARY ELIZABETH ENZWEILER RPH
Gender: F
Sole Proprietor

Location and contact information for practice:
216 MAIN ST  AUGUSTA, KY 41002-1037 US
Tel: 606-756-2204  Fax: 606-756-2702

Contact information for business:
3164 ROYAL WINDSOR DR  EDGEWOOD, KY 41017-2691 US
Tel: 859-331-4915  Fax: --

Registration Information:
NPI: 1194732560
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
OH03-3-17174
Y183500000XPharmacy Service Providers
Pharmacist
KY9082

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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